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Home My WebLink About106 CHRISTIANSEN WAY; ; CB122265; Permit10-26-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB122265 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 106 CHRISTIANSEN WY CBAD PME 0000000000 Lot #: REPLACE 100 AMP METERED PEDEST Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 10/26/2012 RMA 10/26/2012 10/26/2012 ORIGINALLY OWNED BY THE LUTHERAN HOME- ABANDONED Applicant: CITY OF CARLSBAD PARKS DEPARTMENT ATTN: TOM SANCHEZ 1166 CARLSBAD VILLAGE DR CARLSBAD CA 92008 760 802-8811 Owner: CITY OF CARLSBAD PARKS DEPARTMENT ATTN: TOM SANCHEZ 1166 CARLSBAD VILLAGE DR CARLSBAD CA 92008 760 802-8811 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $0.00 Total Fees: $0.00 Total Payments To Date: $0.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: l^-^O' I Clearance: NOTICE: Please take NOTICE thai approval of yoLtr project includes the "Imposition" of fees, dedications, reservations, or other exactions tiereafter collectively refen'ed to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemmeit Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad l^unicipal Code Section 3.32.030. Failure to timely follow ttiat procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY lo water and sewer connection fees and capacity changes, nor planning, zoning, grading or other sim lar application processing or sen/ice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previousiv been a ven a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired. THE FOtLOWtNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE; • PLANNING • ENSINEERING • BUIt DiNG • FIRE • HEALTH • HAZMAT/APCD Plan Check No. ('^ U t^^d^ I ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad. CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buidllng@carlsbadca.gov www.carlsbaQca.Rov DESCRIPTION OF WORK: Include Square Feet of Affected Area{s) [ (P 0 /\ ^1/^^ /Vlt'^-^^^ ^ ^ fl Ijf /fl ' DCiSnNG USE ' PROPOSEE) USE I GARAGE (SF) PATIOS iSh DECKS (5F) F Est. Value Plan Ck. Deposit CT/PROJECT » FIREPLACE YES • « NO D APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS ^ STATE zip ~ ADDRESS CITY FAX CITY STATE ZIP PHONE PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS CITV BUS, LIC.# (Sec, 7031.5 Business and Professions Code: Any City or Count/ whicti requites s permit lo construct, alter, improve, demclisfi or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement tfiat he is licensed pursuant to the provisions of tHe Contractor's License Law (Chapter 9, commending witn Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500}). mm Workers' Compensation Declaration. / fierefiy affirm under penalty otperjtffy one of tt)e fotlomng declarations: ^ I have and will maintain a certificate of consent to self-Insure for worters'compensation as provided by Section 3700 of the Labor Code, lor the performance of Ihe worit for whit^ this pennit is issued. G I have and will maintain workers'compensation, as required tiy Section 3700 of the Labor Code, tor the performance of the work for which this pemiil is issued, Uy workers' compensalion insurance canier and policy number are; Insurance Co. . Policy No Expiration Date This section need not tie compleled if the permit is lor one hundred doliars [SI 00) or less, n Certificate of Exemption: I certify that in the perlonnance ot Ihe work tor which this permit is issued, i shall notemploy any person in any mannwso aslo become subject to the Workers'Compensation Laws of California. WARNING; Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal p<enalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees. JS^ CONTRACTOR SIGNATURE •AGENT DATE ow NBn-nuiLown oectARATiou / hereby affinn that I am exempt from Contractor's Ucense Law for the following reason: p I, as owner of the property or my emptoyees with wages as Iheir sole compensation, will do Itie work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an ovmer ot property who builds or improves thereon, and who does such work himself or thnsugh his o*n employees, provided that such improvements are not intended or ottered for sale. If, however, Ifie building or improvemeni is sold within one yiiar of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale), • I, as owner of the property, am exclusively contracting with licensed contractors to constnjct the project (Sec. 7044. Business and Professions Code: The Confrador's License Law does nol apply lo an owner of properly who builds or improves thereon, and contracts for such pTiiects with contractor[s) licensed pursuant to ^e Conlractor's License Law). • I am exempt under Seclion Business and Professions Code for this reason: IJ personally plan lo provide the major labor and materials to- construction ol the proposed property improvement. ^(Yes O No f 2.JAhave / have not) signed an application for a building permil for the proposed work. 3.1 have contracted with the following person (firni) to provide the proposed construction {include name address / phone / contractors' license number): 4.1 plan lo provide portions ol tfie work, but I have hired the to'kjwing person to coordinate, supervise and provide the major work (include name / address / phone / contractors' Ncense number): 5.1 wifl provide some of Uie work, but I have conlracled (hired) the following persons to provide the work indrcateO (include name / address / phone / type of worit). ^PROPERTY OWNER SIGNATURE AGENT DATE COffll*LET£ THIS SECTION FOR NON -RESIDENTIAL BUI|.DIN<^ PERMITS ONtV Is the aF^licanl or future building occupant required to submit a business plan, acutely hazanJous materials regisVation form or risk management and prevention program under Sections 25505,25533 or 25534 of tiie Presley-Tanner Hazardous Substance Account Act? O Yes • No Is the applicant or luture building occupant required to obtain a pennit tram the air pollution control district or air quality management district? • Yes • No Is the facility to be conslaicled within 1.000 feel of the outer boundary of a school site? • Yes • No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DIliTRICT, 1 hereby affirm that there Is a construction lenijing agency for the perfomiance of the work this permit is Issued (Sec, 3097 (1) Civil Code), Lender's Name Lender's Address •• P Icerti^thatlhaveieadthe appltcabon and state that theaboveinforniation is correct and that the information on the plans is accurate. I agnae to comply witti all Chy oidinances and State lave relating to building consbuction. I hereby authorize representative of 0ie City of Carisbad to enter upon Die above mentbned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSB/O AGAINST ALL LIABILITIES, JUDGMEMTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN COf JSEQUENCE OF THE GRANTING OF 1H\S PERMIT, OSHA: AT OSHA pemiit is required for excavations over 5'0' deep and demolitbn or constiuction of structufes over 3 stories in lieigtit. EXPIRATION: Every pennit issued by the Building Ofliaal under tie provisions of this Code shall ewae by limitation and become null and vcid if tiie building or vrori( autfiorized by such pennit is not commenced wthin 180 days from tiie date of such permit or if the building or mtk aulhorized by such permiU^susgefided or abandoned at any time after tie iftort( is commenced far a period of 180 days {Section 106.4.4 Unilbnn Building Code), APPLICANT'S SIGNATURE DATE V STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760)602-8560, Email www,buiidinQt5lcaiisbadca,QQv of Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008, C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC, No. DELIVERY OPTIONS • PICKUP: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg, 1) • MAIL TO: • CONTACH" (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg, 1) • MAIL / FAX TO OTHER: • ASSOCIATED CB# • NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB122265 Type: PME REPLACE 100 AMP METERED PEDEST ORIGINALLY OWNED BY THE LUTHERAN Date Inspection Item Inspector Act Comments 10/29/2012 39 Final Electrical - Rl UNSURE OF CODE/ELECTRIC METER PEDESTAL 10/29/2012 39 Final Electrical PD AP Tuesday, October 30, 2012 Page 1 of 1